I'm interested in becoming a Co-op Ambassador!
Name
Home Address
Phone Number
Email Address
How are you connected with The Energy Cooperative?
I'm an electric member.
I'm a natural gas member.
I'm a propane member.
Tell us a little about your community involvement?
Where do you live?
Licking County
Knox County
Muskingum County
Other
I can commit to the following dates from 3:30 - 5:30pm:
October 14, November, 11, December 16 & January 13
Yes
No
Unsure
Why are you interested in being an Energy Cooperative Ambassador?
Contact Information